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Payment Integrity Jobs in Florida (NOW HIRING)

Solis Health Plans

Claims Auditor I

Doral, FL · On-site

$23.73 - $35.60/hr

Experience auditing underpayment disputes or payment integrity functions. Skills & Competencies * Strong analytical, research, and problem-solving skills * High attention to detail and accuracy

Socket.dev

Payment and Reporting Manager (NTHDC)

Tampa, FL · On-site

$80 - $100/hr

Tampa Housing Authority Payment and Reporting Manager Department: North Tampa Housing Development ... Troubleshoot technical issues and ensure data integrity across HUD systems and internal platforms.

New

UF Health

Director, Revenue Integrity

Gainesville, FL · Remote

Payment optimization • Demonstrated experience with Chargemaster (CDM) management . • Working ... Revenue integrity best practices • Strong technology fluency with experience using: * EHR charge ...

New

UF Health

Director, Revenue Integrity

Gainesville, FL · On-site

Payment optimization • Demonstrated experience with Chargemaster (CDM) management . • Working ... Revenue integrity best practices • Strong technology fluency with experience using: * EHR charge ...

New

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All JobsPayment Integrity JobsPayment Integrity Jobs in Florida

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How much do payment integrity jobs pay per hour?

As of Sep 7, 2026, the average hourly pay for payment integrity in Florida is $13.44, according to ZipRecruiter salary data. Most workers in this role earn between $11.49 and $14.71 per hour, depending on experience, location, and employer.

What is a payment integrity job?

A Payment Integrity job involves reviewing healthcare claims, payments, and policies to identify errors, prevent fraud, and ensure compliance with regulations. Professionals in this role analyze data, conduct audits, and collaborate with providers and payers to recover overpayments and prevent improper billing. Their goal is to enhance cost efficiency, reduce financial losses, and ensure accurate reimbursement in the healthcare system.

What are the key skills and qualifications needed to thrive in a payment integrity position?

To thrive in a Payment Integrity role, you need strong analytical skills, attention to detail, and a solid understanding of healthcare claims, payment processes, or insurance operations, often supported by a bachelor's degree in a related field. Familiarity with claims processing platforms, data analysis tools such as Excel or SQL, and knowledge of industry certifications (like CPC or CPMA) is valuable. Exceptional problem-solving abilities, effective communication, and the capacity to collaborate with cross-functional teams set outstanding candidates apart. These skills are crucial for accurately identifying discrepancies, preventing fraud, and ensuring efficient payment processes in complex healthcare or financial settings.

What are some typical challenges faced in a payment integrity position?

Professionals in Payment Integrity roles often encounter complex claims data, evolving regulatory requirements, and the need to identify subtle errors or irregular billing patterns with precision. Balancing high-quality analysis with efficiency, while navigating between multiple systems and large datasets, can be challenging. The role often requires close collaboration with other departments such as provider relations, compliance, and IT to resolve issues and implement process improvements. Successfully overcoming these challenges helps organizations minimize losses, maintain compliance, and promote fair payment practices.

What does a payment integrity specialist do?

A payment integrity specialist reviews healthcare claims and payments to identify and prevent errors, fraud, and overpayments. They analyze data, ensure compliance with regulations, and use tools like claims processing software to improve payment accuracy and reduce financial losses.

What does payment integrity do?

Payment integrity professionals ensure that healthcare or insurance payments are accurate, valid, and compliant with policies. They review claims, identify errors or fraud, and implement processes to prevent improper payments, often using data analysis and auditing tools.

What are the most commonly searched types of Payment Integrity jobs in Florida?

The most popular types of Payment Integrity jobs in Florida are:

What are popular job titles related to Payment Integrity jobs in Florida?

For Payment Integrity jobs in Florida, the most frequently searched job titles are:

What job categories do people searching Payment Integrity jobs in Florida look for?

The top searched job categories for Payment Integrity jobs in Florida are:

Payment Integrity jobs near you
Infographic showing various Payment Integrity job openings in Florida as of August 2026, with employment types broken down into 1% As Needed, 82% Full Time, 15% Part Time, and 2% Contract. Highlights an 91% Physical, 2% Hybrid, and 7% Remote job distribution, with an average salary of $27,965 per year, or $13.4 per hour.

Financial Analyst - Fraud, Waste and Abuse (FWA) (Onsite)

Doctors HealthCare Plans, Inc.

Coral Gables, FL • On-site

$60 - $80/hr

Other

Re-posted 3 days ago

Job description

Onsite Position

The Financial Analyst - Fraud, Waste and Abuse (FWA) is responsible for identifying, investigating and preventing fraudulent, wasteful and abusive activities related to healthcare claims, insurance, government programs, or organizational operations. This role uses data analysis, investigative techniques, and regulatory knowledge to detect suspicious patterns, minimize financial losses and ensure compliance with applicable laws and company policies.

Key ResponsibilitiesReporting & Analytics Support
  • Analyze medical, pharmacy, provider, and member-level claims data to identify potential FWA, overutilization, unusual billing patterns
  • Perform data mining, auditing, trend analysis, outlier detection, and root-cause analysis across providers, members, CPT codes, diagnosis codes, DRG codes, and claim types.
  • Generate and prioritize investigative leads
Recovery and Payment Integrity Activities
  • Support pre-payment and post-payment review activities
  • Recommend enhancements to claim edit rules and controls to prevent future improper payments
Reporting and Monitoring
  • Document models, provide investigative summaries and recommendations for review by FWA, Finance, Compliance, Medical Management, and other leadership.
  • Produce FWA dashboard, and reports on savings and recoveries, trends and emerging risks, provider and member monitoring, etc.
Documentation
  • Support FWA program reporting, audit responses, policy/procedure development, and operational documentation
Other
  • Maintain confidentiality of sensitive information and investigative findings
  • Meet performance goals as established for the position
  • Perform additional duties and responsibilities as assigned by management

The above statement reflects the general duties considered necessary to describe the principal functions of the job identified and shall not be considered as a detailed description of all work requirement inherent to the position.

Qualifications
  • Bachelor’s degree
  • Three-year experience in healthcare and/or Medicare Advantage plans
  • Experience with healthcare claims analysis, large data sets and claim analytics
  • Ability to manage multiple investigations simultaneously
  • Able to meet deadlines, multi-task and thrive in high-pressure environment
  • Excellent oral and written communication
  • Proficiency with MS office with advanced skills in Excel and SQL
  • Experience with PowerBI and developing dashboards
  • Ability to work independently and collaboratively in a team environment

Our company is committed to creating a diverse environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status. DFWP

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